| NPI | 1245599075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 1359686111) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 122895) |
| 163WA2000X Registered Nurse, Administrator (Licence: KS 3450) | |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-14 |